Evaluating the Validity of the Metrisquare Cognitive Test Battery for Concussion: A Comparison of Digital and Pen-and-Paper Testing Methods

Dijkstra, Lois (2026) Evaluating the Validity of the Metrisquare Cognitive Test Battery for Concussion: A Comparison of Digital and Pen-and-Paper Testing Methods. Master thesis, Psychology.

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Abstract

Sport-related concussions can cause cognitive impairments, making neuropsychological assessment important for early detection and intervention. Traditionally, such assessments relied on pen-and-paper tests, which, although effective, can be time-consuming and less precise. The shift toward computerised testing offers several advantages, such as greater efficiency, standardised administration, and more precise measurements, enabling faster and more accurate identification of cognitive deficits. The Metrisquare Cognitive Test Battery for Concussion (MCTC) is such a digital tool designed to assess the cognitive impact of sport-related concussions. This study examined the construct validity of the MCTC by analysing correlations between its digital test versions and their original pen-and-paper counterparts. 75 participants (16 - 35 years old) completed both versions of tests assessing attention, memory, executive functioning, and processing speed. Moderate to strong significant correlations were found for tests measuring visuospatial (working) memory, short-term memory and divided attention, indicating adequate convergent validity. However, weak and non-significant correlations emerged for tests assessing executive functioning, cognitive flexibility, sustained attention and processing speed, suggesting potential differences in the underlying constructs measured. This indicates possible limitations in the construct validity of certain MCTC tests. Overall, the study contributes to the ongoing validation of the MCTC for concussion assessment.

Item Type:	Thesis (Master)
Supervisor name:	Koerts, J.
Degree programme:	Psychology
Differentiation route:	Clinical Neuropsychology (CN) [Master Psychology]
Date Deposited:	25 Feb 2026 14:05
Last Modified:	25 Feb 2026 14:05
URI:	http://gmwpublic.studenttheses.ub.rug.nl/id/eprint/6272

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